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Neuro Exam Results

      Re: Neuro Exam Results

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Posted by CCf Neuro MD on November 25, 1997 at 15:36:10:

In Reply to: Neuro Exam Results posted by Erin on November 25, 1997 at 00:57:19:

: A friend of mine was recently diagnosed with probable MS.  This was based
  on neuro exam, MRI, as well as evoked responed test.  MRI was postive for MS, as was the neuro exam.  Evoked reponses test was normal.
  Cindy noticed on the doctors report, it said she had colnus on left leg,
  brisk reflects.  Also it said she had a postive Palmomental Relfex.
  We both know what brisk resflects are, and colnus, but what is postive
  Palmomental Reflex?  Does it have something to do with your hands?
  It may be silly question, but we can't find anything about it.  Thanks in advance.
The palmomental reflex is a somewhat rarely performed and difficult to interpret clinical sign which is sometimes performed as part of the neurological examination, it consists of scratching the palm of the hand and watching for a twitch of the muscle over the chin on the same side.  This sign if positive is called a frontal lobe releasing sign and is supposed to signify damage to the frontal lobes of the brain. It is not usually described in MS, and in the absence of other signs or symptoms of frontal lobe disease its significance is very doubtful.
Like many other clinical signs in Neurology , no one sign is of absolute significance in isolation, and should be evaluated  only in the context of the other findings, this is particularly important in the so called
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